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I wish to use this platform as a voluntary work to the community and society.
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I wish to use this platform as a voluntary work to the community and society.

More about Dr. U K Patowary

He has over 35 years of experience as a Gynaecologist. He is a qualified MBBS, MD. Don’t wait in a queue, book an instant appointment online with Dr. U K Patowary on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 39 years of experience on Lybrate.com. You can find Gynaecologists online in WB and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

This early vaginal bleeding may happen sometimes for various reasons, like life style change, weight gain or weight loss or hormonal imbalance, and gets back to normal again. It may be caused by emergency contraceptive pills or by hormonal contraceptive pills also. Moreover stress and anxiety may release stress hormones and alter her flow.
If the bleeding continues, she may have consultation with a doctor for any cervical bleeding or other uterine bleeding.

In a normal pregnancy, climbing stairs is safe as long as you are cautious. Climb up and down slowly holding the handrail, and take breaks if necessary and take deep breadths. Switch on the lights so that the stairs are well lit up. In the mid and late three months of pregnancy, the centre of gravity of the body shifts forwards and upwards; so you should be extra careful while balancing yourself especially while stepping down. This will prevent tripping or falling.
But if there is a high risk pregnancy like bleeding episodes, past miscarriage, dizziness, twins, etc. It is better to avoid using the staircase. In your case as you have twins, it is safer to avoid climbing stairs especially in the second half of the pregnancy.

It may mean pcod, a condition where multiple small small cystic structures are seen in ovaries by ultrasound; this is associated with missed period. Also sometimes, hypothyroidism may lead to missed period. Your weight is good for your height and age, as it indicates bmi of 21.

In a normal pregnancy, it is safe to have sex in the second trimester (middle 3 months). It is better to avoid sex in the first 3 months and the last 3 months. Because there is a slight increase in the risk of miscarriage and rupture of the bag of water leading to premature labor in the 1st and 3rd trimesters respectively due to it. And if there is any vaginal bleeding or abdominal pain or leaking of watery discharge or placenta previa (placenta inserted in the lower portion of the uterus) or std in partner, sex should be avoided. One point to remember by both partners is that during the act, direct pressure should not fall on her abdomen, and positions are to be adjusted accordingly.
After birth of baby by normal route or caesarean section, it is recommended to wait for approximately six weeks before resuming intercourse.

Human chorionic gonadotrophin (hcg), the unique pregnancy hormone, that the developing placenta releases immediately after implantation of the fertilized egg on the inner lining of the uterus, enters your bloodstream before it filters to your urine. So, if you have a feeling that you may have gotten pregnant, you have to wait 7 to 12 days after you had unprotected sex before you can take a blood pregnancy test (b-hcg) and get the result for pregnancy.
A majority of over-the-counter urine home pregnancy tests claim to be accurate on the day of your missed period. However, studies have shown that they are most accurate 7 days after your missed period, since the level of hcg in your body doubles every 2 to 3 days after implantation.
There are a few of the newer (and more expensive) home pregnancy brands that can detect very low amounts of hcg and allow you to test before you miss your period.

Your usg report is absolutely normal. It tells that your single baby in the womb is 19 weeks of age, growing properly with normal heart beats and movements and normal position and the placenta is in upper part of the uterus, having normal umbilical cord, and the water inside the uterus surrounding the baby is adequate in quantity.

Lap (or laparoscopy) suggested to you in your case, is a diagnostic invasive test done under anesthesia. This test offers a better idea about your fertility status, letting the doctor see the condition of the uterus, both the fallopian tubes and both ovaries, and whether there is any adhesion or other problem in the pelvis. It is usually combined with chromo-pertubation, which is a dye test to test the patency of the tubes by spillage of the dye from the ends of the tubes when the dye is pushed through the mouth of the uterus.

When to start a family is a very personal decision. The answer is different for everyone. One has to be ready emotionally and financially and physically.
More women over 30 are now giving births than in past generations. About 30% of the first births nowadays occur to women between the ages of 30 and 34.
Population studies have shown that, for women, fertility usually starts to decline sharply by the age of 35, and becomes nearly zero by the age of 50. A woman? s fertility begins to decline after her early to mid thirties. This varies from woman to woman. Unfortunately till now, there is no highly reliable diagnostic test to predict a woman? s fertility decline rate. The gradual change in fertility is mainly due to a decrease in the numbers and? quality? of eggs in the ovaries. With increasing age, there is a higher rate of genetic abnormalities and more risks of miscarriages. There are also non- ovarian factors, like with increase in age, the chances of endometriosis, tubal disease, fibroids, polyps, etc. Increase thereby reducing fertility.
Other than fertility issue, women who become pregnant after the age of 35, have an increased risk of complications like miscarriage, ectopic pregnancy, preeclampsia, hypertension, gestational diabetes, placental complications, intrauterine growth restriction, and caesarean section. Their babies are at increased risk of having low birth weight, chromosomal abnormalities and non-genetic malformations.
For women who are under the age of 35, consultation with a gynecologist or fertility expert is usually required after one year of trying to become pregnant. Women aged 35 to 37 should be referred to a specialist after 6 months of trying to become pregnant, and women who are 38 or older and are trying to conceive should be referred to a specialist without waiting. The good news is that many women over the age of 35 become pregnant and have healthy pregnancies and babies finally, the post-35 decline is a guideline. The effect of a father? s age on fertility and pregnancy are not as well defined as for maternal age. There are some research that suggest a decrease in fertility for men over 40, and an increase in genetic disorders for children of older fathers.
If you'd like to have children someday but aren't quite ready, you may think of egg preservation.

In a normal pregnancy, it is safe to have sex in the second trimester (middle 3 months). It is better to avoid sex in the first 3 months and the last 3 months. Because there is a slight increase in the risk of miscarriage and rupture of the bag of water leading to premature labor in the 1st and 3rd trimesters respectively from it. And if there is any vaginal bleeding or abdominal pain or leaking of watery discharge or placenta previa (placenta inserted in the lower portion of the uterus) or std in partner, sex should be avoided. One point to remember by both partners is that during the act, direct pressure should not fall on her abdomen, and positions are to be adjusted accordingly.
After birth of baby by normal route or caesarean section, it is recommended to wait for approximately six weeks before resuming intercourse.

Unwanted-72 or i-pill are emergency contraceptive pills. The chances of failure to avoid pregnancy in a unwanted-72 pill / i-pill are about 13%. To be effective, the pill has to be taken preferably within 12 hours of the unprotected intercourse. But it must be taken within 72 hours, although if the pill is consumed later than 12 hours the failure rate in avoiding pregnancy is more. It should not be used regularly. Some minor side effects of this medicine are headache, dizziness, nausea and vomiting; sometimes changes in menstrual pattern are observed; these are temporary, unless one uses unwanted-72 quite often.
If one has other existing disease of gut or liver or breast or heart, doctor? s consultation is necessary before taking this medicine.
Lastly, if regular contraception is the aim, then other pills may be considered; the chances of failure of a regular contraceptive pill to avoid pregnancy are merely 0.001%. That of a copper-t is 1 to 2%. With condoms it is 3 to 6%. For these, consultation is advisable.

Dry fruits in moderate quantities can be safely taken during normal pregnancy, unless there is some allergy like nut allergy. And these should not be too salty. Suggested daily quantity is four to five. Almonds contain vitamin e, unsaturated fat, protein and iron; raisins contain vitamin b-complex, iron, calcium, minerals, oleanolic acid( good for teeth), high fiber( good for constipation) and antioxidants. Dried figs are highly concentrated source of minerals and vitamins. Apricot is rich in fiber, potassium, iron and antioxidants. Dates supply magnesium, potassium and vitamins. Please all of these are supportive during pregnancy for both mother and baby. Please cashew nuts (kaju) are a rich source of vitamins( like k vitamin) and minerals( like iron, copper), besides dietary fiber, unsaturated fats and protein. Pistachios contain fiber, proteins, monosaturated fatty acids, antioxidants, omega-3 fatty acid and vitamins a & e. But roasted/ processed pistachios and cashew nuts have high level of sodium, which is undesirable in pregnancy as it is a risk factor for developing hypertension. Pistas may cause indigestion, bloating and diarrhea in some. Women with nut allergy should avoid cashew nuts and pistas.

You have not mentioned how many years are you married for and trying to conceive, and whether you both have got any tests done earlier or any medicines taken for the same. Usually 80% of the couples in the general population will conceive within 1 year of uninterrupted trying to conceive. After one year of attempting, if no success, one may have to consult a gyn doctor or infertility expert. The initial assessment consists of your detailed history taking and clinical examination, followed by some basic tests. Lifestyle changes like avoiding smoking or regular alcohol intake and caffeinated beverages if any, avoiding over-the-counter or recreational drugs if any, maintaining optimum body weight( so that bmi is between 18. 5 to 23 ), etc. Are important. Folic acid supplementation to wife while trying to conceive is recommended. Stress in the male or female partner can affect relationship and likely to reduce libido and frequency of intercourse which contribute to fertility problems. Moreover investigations and treatment of fertility problems take long time and both should be prepared for it.

You have not mentioned how you were taking regestrone tablet. It should be taken form a particular date of last period and continued for a particular number of days as per doctor? s prescription; irregular intake may lead to further irregular cycles. Various reasons lead to delayed menses. Some common ones are weight gain, or weight loss, strenuous exercise, no physical activity, change of place, stress or anxiety, which are, to a great extent, under your control. Other common causes include hormonal imbalance mostly due to thyroid disorder or polycystic ovarian syndrome, which can be treated with good success rate. You may check on yourself if some of the above-mentioned conditions may be operating or not, and then try to alleviate these with lifestyle changes. For knowing hormonal imbalance, of course, you will have to get some tests done like thyroid tests and ultrasound and other tests, for which consultation with a gynecologist will be necessary.

Gluconorm-SR ( by Lupin pharma) tablet contains Metformin ( 500 mg or 1 gm), which is a blood sugar lowering medicine, used in Diabetes type II, gestational diabetes and PCOD. It is a Pregnancy Category- B drug, which means animal studies show no risk and human studies not available, or animal studies show minor risk and human studies show no risk, and so it may be acceptable during pregnancy.
On the other hand, GlucoNorm tablet by River Pharmacy ( available in India as Eurepa tablet) contains Repaglinide which is another blood sugar lowering medicine used in Type II Diabetes, marketed in three forms i.E. 0.5 mg, 1 mg & 2 mg. It is a Pregnancy Category- C drug, which means animal studies show risk and human studies not available, or neither human nor animal studies done, and so use with caution only if benefits outweigh risks in pregnancy. This one better to avoid.

No, Treatment depends on the severity and duration of the condition, and any underlying disease if any. There are several options of treatment other than surgery, for Carpel Tunnel Syndrome.
These are like changing or avoiding activities that increase the symptoms e.G. Pain; rest to the wrist; ice application; or wearing a wrist splint; taking anti-inflammatory medicines or steroid tablets/ injection; and physical therapy; etc.

Your increased frequency of urination during day time and night may be due to some common conditions like pressure of head of the fetus on bladder or urinary infection. So get your urine tested for infection. Have an ultrasound done for fetal position, weight and well-being. Also blood may be re-tested for sugar level.

Regarding your bleeding issue, you may have to continue Deviry 10 mg tablet twice daily without break this time for 20 days. Dose may have to be increased to thrice daily occasionally initially. Some other bleeding-stopping medicines are also prescribed in few cases along with Deviry.
If, in spite of medicines for 4 - 5 days in proper doses, bleeding continues, then repeat ultrasound, and thereafter D&C may be required and the curetted tissue may have to be tested. But consult your gynae doctor for specific advice.
Medicines like Deviry( Medroxy Progesterone) are used to reduce thickness of uterine lining and stop bleeding in many cases.
Regarding your fertility issue, you have to first undergo the standard infertility workup, which means several tests to get done including your husband's.